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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 5 No. 1 (2014)

Immediate Outcome of Neonate With Pneumothorax

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2014
CONTENTSVolume 05Number 1January 2014
Editorial
What we can read and what we cannot read in the mortality curve of the neonatal surgery - the progress of the neonatal surgery in Japan
Akio Kubota
01
Review Articles
Diabetes Mellitus and Gestational Diabetes Mellitus
SA Begum, R Afroz, Q Khanam, A Khanom, TS Choudhury
30
Original Articles
Immediate Outcome of Neonate With Pneumothorax
Marium Begum, Zabrul SM Haque, Mahmuda Hassan, Abdul Mannan, Nasim Jahan
03
Diagnosis of Congenital Anomalies of Kidney and Ureter by Ultrasonography
Fathima Nusrath Halim, Mohammad Ali Sarker, Farah Nazlee, Md Nazrul Islam
08
Comparative study between intralesional Dexamethasone and oral Prednisolone in the treatment of Infantile Hemangioma
Tahmina Akhter Chowdhury, Akbar Husain Bhuiyan, Mohammed Monjurul Hakim
12
Evaluation of breast disease by clinical breast examination (CBE): Experience of a tertiary care hospital
Rehana Akhter, Farzana Deeba, Mir Mosarraf Hossain, Begum Nasreen, Jesmin Banu, Masuma Amanullah
20
A Comparative Study between the Outcome of Laparoscopic Appendectomy and Open Appendectomy in Children
Nazmus Sakib Ferdous, Ashraf Ul Huq, Kaniz Hasina, Masuda Khatun
25
Case Reports
Fetal Hydronephrosis, A Case Report And Review of Literature
Parveen Akhter Shamsunnahar, Abdul Motaleb, Begum Nasrin, Fawzia Hossain, Sharmeen Mahmood, Shirin Akhter Begum
36
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Marium BegumAsst. Prof. of Neonatology, Ad-din Medical College Hospital, Dhaka
  • Zabrul SM HaqueProfessor of Neonatology, Ad-din Medical College Hospital, Dhaka
  • Mahmuda HassanAssociate Prof. of Pediatrics, Ad-din Medical College Hospital, Dhaka
  • Abdul MannanAsst. Prof. of Neonatology, Ad-din Medical College Hospital, Dhaka
  • Nasim JahanAsst. Prof. of Neonatology, Ad-din Medical College Hospital, Dhaka

Keywords

Pneumothorax neonates

Abstract

Objectives: To determine the outcome of pneumothorax in term and post term neonates. Study Design: Neonates presented with respiratory distress and diagnosed pneumothorax by X-ray at the time of admission or during the course of hospital stay were included in this study. Results: Total 49 cases were included for the study, among them 29 (59.18%) were male and 20 (40.82%) female, 42 (85%) babies cured and 7 (15%) expired. Thirty-five (71.46%) delivered by LUCS, 14 (28.57%) by NVD. Pneumothorax associated with maternal risk factors like UTI 10 (21.2%), PROM 5 (10.2%), GDM 2 (4.2%) cases, PIH 1 (2.0%), PET 1 (2%), were observed. No maternal risk factor has been identified in 25 (51%) cases and 4 (8.1%) cases due to other reason. Nineteen neonates (38.77%) with meconium aspiration syndrome, 14 (28.57%) required PPV, 10 (20.40%) with pneumonia 2 (4.08%) with congenital heart disease, 2 (4.08%) with TTN, pneumothorax 2 (4.02%). Total 40 (81.63%) cases were in patient, only 3 (7.5%) of them died, 9 (18.36%) babies were out patient among them 4 (8.16%) died, (P value <0.001). Significant death were seen among those who admitted after 24 hours of age, 3 out of 6 cases). Four (8.16) out of 36 (73.4%) expired who admitted before 24 hours of age, (P value <0.001.) Pneumothorax were managed by nitrogen wash out 29 (59.18%), 5 (10.20%) needle aspiration with high flow oxygen, 5 (10.20%) needed needle aspiration, chest tube with high flow oxygen. Ten (20.40%) babies needed needling, chest tube drainage with ventilator, among them 6 (12.24%) expired and 4 survived. No death were observed among the neonates who were managed with high flow oxygen. Conclusions: High index of suspicion, prompt diagnosis by cold light and urgent portable X-ray and immediate intervention is needed for life saving and better outcome

Journal of Paediatric Surgeons of Bangladesh (2014) Vol. 5 (1): 3–7

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